<!DOCTYPE html>
<html lang="en">

<head>
    <meta charset="UTF-8">
    <title>表单</title>
    <link rel="stylesheet" type="text/css" href="../../../app/assets/css/robotUI.css">
    <link rel="stylesheet" type="text/css" href="../../../app/assets/css/main.css">
</head>
<style>
    .bgf{
        background: #fff;
        margin-top: 20px;
        padding-top: 20px;
    padding-bottom: 30px;
    }
</style>
<body>
<!-- layout -->
<div class="qb-wapper-g bgf">
    <div class="rob-row rob-no-gutters" >

        <div class="rob-col-lg-8 rob-col-md-12 rob-col-sm-24 rob-col-xs-24 rob-input-has-error">
            <div class="rob-form-group">
                <div class="rob-col-lg-6 rob-col-md-5 rob-col-sm-24 rob-col-xs-24 qb-no-padding-rg">
                    <label class="rob-input-label">日期哈日期:</label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-19 rob-col-sm-24 rob-col-xs-24 rob-input-date">
                    <div class="rob-input-item rob-has-icon-right">
                        <em class="rob-is-icon-right rob-icon qb-icon-calendar "></em>
                        <input type="text" class="rob-input">
                        <div class="rob-error-message">
                            <i class="qb-icon-calendar"></i> 使用单一的一组 .rob-col-md-*
                            栅格类，就可以创建一个基本的栅格系统，在手机和平板设备上一开始是堆叠在一起的（超小屏幕到小屏幕这一范围），在桌面（中等）屏幕设备上变为水平排列。所有“列（column）必须放在
                            ” .rob-row 内。
                        </div>
                    </div>
                    <div class="rob-input-item rob-has-icon-right">
                        <em class="rob-is-icon-right rob-icon qb-icon-calendar "></em>
                        <input type="text" class="rob-input">
                    </div>
                </div>
            </div>
        </div>
        <div class="rob-col-lg-8 rob-col-md-12 rob-col-sm-24 rob-col-xs-24">
            <div class="rob-form-group">
                <div class="rob-col-lg-6 rob-col-md-5 rob-col-sm-24 rob-col-xs-24 qb-no-padding-rg">
                    <label class="rob-input-label">日期哈日期:</label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-19 rob-col-sm-24 rob-col-xs-24 rob-input-date">
                    <div class="rob-input-item rob-has-icon-right">
                        <em class="rob-is-icon-right rob-icon qb-icon-calendar "></em>
                        <input type="text" class="rob-input">
                    </div>
                    <div class="rob-input-item rob-has-icon-right">
                        <em class="rob-is-icon-right rob-icon qb-icon-calendar "></em>
                        <input type="text" class="rob-input">
                    </div>
                </div>
            </div>
        </div>
        <div class="rob-col-lg-8 rob-col-md-12 rob-col-sm-24 rob-col-xs-24">
            <div class="rob-form-group">
                <div class="rob-col-lg-6 rob-col-md-5 rob-col-sm-24 rob-col-xs-24 qb-no-padding-rg">
                    <label class="rob-input-label">日期哈日期:</label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-19 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item rob-has-icon-right">
                        <input type="text" class="rob-input">
                    </div>
                </div>
            </div>
        </div>
        <div class="rob-col-lg-8 rob-col-md-12 rob-col-sm-24 rob-col-xs-24">
            <div class="rob-form-group">
                <div class="rob-col-lg-6 rob-col-md-5 rob-col-sm-24 rob-col-xs-24 qb-no-padding-rg">
                    <label class="rob-input-label">日期:</label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-19 rob-col-sm-24 rob-col-xs-24 rob-input-date">
                    <div class="rob-input-item rob-has-icon-right">
                        <em class="rob-is-icon-right rob-icon qb-icon-calendar "></em>
                        <input type="text" class="rob-input">
                    </div>
                    <div class="rob-input-item rob-has-icon-right">
                        <em class="rob-is-icon-right rob-icon qb-icon-calendar "></em>
                        <input type="text" class="rob-input">
                    </div>
                </div>
            </div>
        </div>
        <div class="rob-col-lg-8 rob-col-md-12 rob-col-sm-24 rob-col-xs-24">
            <div class="rob-form-group">
                <div class="rob-col-lg-6 rob-col-md-5 rob-col-sm-24 rob-col-xs-24 qb-no-padding-rg">
                    <label class="rob-input-label">日期哈日期:</label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-19 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item rob-has-icon-right">
                        <input type="text" class="rob-input">
                    </div>
                </div>
            </div>
        </div>
        <div class="rob-col-lg-8 rob-col-md-8 rob-col-sm-8 rob-col-xs-8 qb-pull-right-g column text-left">
            <div class="rob-col-lg-24">
                <button class="rob-btn rob-btn-danger rob-btn-circle pd38" type="button">搜索</button>
                <button class="rob-btn rob-btn-minor rob-btn-circle pd38" type="button">清除</button>
            </div>
        </div>
    </div>
    <div class="rob-row rob-no-gutters" >

        <div class="rob-col-lg-8 rob-col-md-12 rob-col-sm-24 rob-col-xs-24 rob-input-has-error">
            <div class="rob-form-group">
                <div class="rob-col-lg-6 rob-col-md-5 rob-col-sm-24 rob-col-xs-24 qb-no-padding-rg">
                    <label class="rob-input-label">日期哈日期:</label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-19 rob-col-sm-24 rob-col-xs-24 rob-input-date">
                    <div class="rob-input-item rob-has-icon-right">
                        <em class="rob-is-icon-right rob-icon qb-icon-calendar "></em>
                        <input type="text" class="rob-input">
                        <div class="rob-error-message">
                            <i class="qb-icon-calendar"></i> 使用单一的一组 .rob-col-md-*
                            栅格类，就可以创建一个基本的栅格系统，在手机和平板设备上一开始是堆叠在一起的（超小屏幕到小屏幕这一范围），在桌面（中等）屏幕设备上变为水平排列。所有“列（column）必须放在
                            ” .rob-row 内。
                        </div>
                    </div>
                    <div class="rob-input-item rob-has-icon-right">
                        <em class="rob-is-icon-right rob-icon qb-icon-calendar "></em>
                        <input type="text" class="rob-input">
                    </div>
                </div>
            </div>
        </div>
        <div class="rob-col-lg-8 rob-col-md-12 rob-col-sm-24 rob-col-xs-24">
            <div class="rob-form-group">
                <div class="rob-col-lg-6 rob-col-md-5 rob-col-sm-24 rob-col-xs-24 qb-no-padding-rg">
                    <label class="rob-input-label">日期哈日期:</label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-19 rob-col-sm-24 rob-col-xs-24 rob-input-date">
                    <div class="rob-input-item rob-has-icon-right">
                        <em class="rob-is-icon-right rob-icon qb-icon-calendar "></em>
                        <input type="text" class="rob-input">
                    </div>
                    <div class="rob-input-item rob-has-icon-right">
                        <em class="rob-is-icon-right rob-icon qb-icon-calendar "></em>
                        <input type="text" class="rob-input">
                    </div>
                </div>
            </div>
        </div>
        <div class="rob-col-lg-8 rob-col-md-12 rob-col-sm-24 rob-col-xs-24">
            <div class="rob-form-group">
                <div class="rob-col-lg-6 rob-col-md-5 rob-col-sm-24 rob-col-xs-24 qb-no-padding-rg">
                    <label class="rob-input-label">日期哈日期:</label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-19 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item rob-has-icon-right">
                        <input type="text" class="rob-input">
                    </div>
                </div>
            </div>
        </div>
        <div class="rob-col-lg-8 rob-col-md-8 rob-col-sm-8 rob-col-xs-8 qb-pull-right-g column text-left">
            <div class="rob-col-lg-24">
                <button class="rob-btn rob-btn-danger rob-btn-circle pd38" type="button">搜索</button>
                <button class="rob-btn rob-btn-minor rob-btn-circle pd38" type="button">清除</button>
            </div>
        </div>
    </div>
</div>
<div class="qb-wapper-g ">

    <div class="qb-panel-g">
        <div class="qb-form-group-g clearfix qb-media-height qb-form-group-b10-g qb-form-pd-g__xs-label">
            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">用户名：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item">
                        <input type="text" class="rob-input" id="inputEmail3" placeholder="请输入用户姓名">
                    </div>
                </div>
            </div>
            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">用户名：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item">
                        <input type="text" class="rob-input" id="inputEmail3" placeholder="请输入用户姓名">
                    </div>
                </div>
            </div>
            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">用户名：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item">
                        <input type="text" class="rob-input" id="inputEmail3" placeholder="请输入用户姓名">
                    </div>
                </div>
            </div>
            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12 " style="margin-bottom: 90px">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label class="rob-input-label">企业名称：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item qb-getmsg-g">
                        <input type="text" class="rob-input">
                        <span class="qb-getmsg-g__rgbd">获取验证码</span>
                    </div>
                </div>
                <div class="rob-col-lg-5 rob-col-md-5 rob-col-sm-5 rob-col-xs-24 qb-pd0-g">
                    <div class="qb-red-g rob-input-label text-left "></div>
                </div>
            </div>



            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">用户名：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item">
                        <input type="text" class="rob-input" id="inputEmail3" placeholder="请输入用户姓名">
                    </div>
                </div>
            </div>

            <div class="rob-form-group rob-form-group-has-button rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">用户姓名：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item  qb-position-relative-g rob-form-group">
                        <input type="text" class="rob-input" id="inputEmail3" placeholder="">
                    </div>

                </div>

                <span class="qb-form-group-iconbox">
                        <!--qb-icon-add-hover图标点击样式-->
                        <i class="qb-icon-add2"></i>
                    </span>
                <span class="qb-form-group-buttonbox"><button class="rob-btn rob-btn-minor rob-btn-circle "
                                                              type="button">从用户中选择</button></span>
            </div>

            <div class="rob-form-group rob-form-group-has-button rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <ul class="qb-money_list-g" style="display: block">
                        <li>余额(元):10000.00</li>
                        <li class="rob-row">
                            <div class="rob-col-md-12 rob-col-sm-12">可用余额(元):10000.00</div>
                            <div class="rob-col-md-12 rob-col-sm-12">冻结余额(元):10000.00</div>
                        </li>
                    </ul>
                </div>
            </div>


            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">账户2：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item qb-position-relative-g ">
                        <input type="text" class="rob-input" id="inputEmail3" placeholder="">
                        <!--<span class="qb-form-group-iconbox"><i class="qb-icon-delete1"></i></span>-->
                    </div>
                </div>


            </div>

            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">审批流程：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item">
                        <input type="text" class="rob-input" id="inputEmail3" placeholder="">
                    </div>
                </div>
            </div>

            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">经办人员：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item">
                        <input type="text" class="rob-input" id="inputEmail3" placeholder="">

                    </div>

                </div>


            </div>

            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item">
                        <input type="text" class="rob-input" id="inputEmail3" placeholder="">

                    </div>

                </div>


            </div>

            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">用户名：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item">
                        <input type="text" class="rob-input" id="inputEmail3" placeholder="">
                    </div>
                </div>
            </div>

            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24">
                    <label for="inputEmail3" class="rob-input-label ">限额类型：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item">
                        <input type="text" class="rob-input" id="inputEmail3" placeholder="">
                    </div>
                </div>
            </div>

            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">限制额度(元)：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item">
                        <input type="text" class="rob-input" id="inputEmail3" placeholder="">
                    </div>
                </div>
            </div>

            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">摘要：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">

                    <textarea class="rob-input rob-input-textarea" rows="3"></textarea>

                </div>
            </div>

            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item">
                        <input type="text" class="rob-input" id="inputEmail3" placeholder="">
                    </div>
                </div>
            </div>

            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">限制类型：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item">
                        <input type="text" class="rob-input" id="inputEmail3" placeholder="">
                    </div>
                </div>
            </div>

            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">限制额度(元)：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <div class="rob-input-item">
                        <input type="text" class="rob-input" id="inputEmail3" placeholder="">
                    </div>
                </div>
            </div>

            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">摘要：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24">
                    <textarea class="rob-input rob-input-textarea" rows="3"></textarea>
                </div>
            </div>

            <div class="rob-form-group rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <div class="rob-col-lg-6 rob-col-md-6 rob-col-sm-24 rob-col-xs-24 ">
                    <label for="inputEmail3" class="rob-input-label ">是否申请数字证书：
                    </label>
                </div>
                <div class="rob-col-lg-18 rob-col-md-18 rob-col-sm-24 rob-col-xs-24 qb-radio-line-height">
                    <input class="rob-radio-with-gap" name="group2" type="radio" id="test1">
                    <label for="test1">间隔</label>

                    <input class="rob-radio-with-gap" name="group2" type="radio" id="test2">
                    <label for="test2">间隔</label>

                    <span>如不申请数字证书,仅可进行账户查询、限额付款等操作</span>
                </div>
            </div>

        </div>
        <div class="qb-form-footButton-g clearfix ">
            <div class=" rob-col-lg-offset-6 rob-col-lg-12 rob-col-md-offset-6 rob-col-md-12">
                <button class="rob-btn rob-btn-minor rob-btn-circle " type="button">取消</button>
                <button class="rob-btn rob-btn-danger rob-btn-circle">提交</button>
            </div>
        </div>

    </div>

</div>
<!-- 尾部 -->
</body>

</html>